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Young Patient, Recurrent Stroke — Don’t Miss This MRI Diagnosis Young patient with stroke-like symptoms. CT looks subtle. MRI tells the real story. Bilateral white-matter hyperintensities involving the anterior temporal poles and external capsule are red flags for Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL). ❗ Commonly misdiagnosed as migraine, multiple sclerosis, or sporadic small vessel disease. 🧬 Definitive diagnosis requires NOTCH3 ge
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